| NPI | 1033981824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA RIFFEY Chief Executive Officer 757-937-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-10-01 |